Individual
BETHLEHEM WOLDESEMAYIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 W 74TH ST APT 8, NEW YORK, NY 10023-2147
(347) 249-6851
Mailing address
252 W 74TH ST, APT 8, NEW YORK, NY 10023-2141
(347) 249-6851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
650236-1
NY
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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